Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $15.49 / $25.70	Facility		$9.12	$15.49	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $12.02	Professional		$8.91	$8.91	$12.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $19.50 / $58.88	Facility		$10.00	$19.50	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.23 / $15.85	Professional		$9.12	$10.23	$15.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Facility		$9.12	$9.12	$9.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $9.12	Facility		$8.71	$8.71	$9.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $18.62	Professional		$9.12	$9.12	$18.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $9.12	Facility		$8.71	$8.71	$9.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $18.62	Professional		$9.12	$9.12	$18.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.22 / $13.18	Professional		$9.12	$11.22	$13.18
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.79 / $20.42	Professional		$8.71	$14.79	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $9.12 / $10.00	Professional		$8.91	$9.12	$10.00